Individual
SHELLY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
Mailing address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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